HomeMy WebLinkAboutBCOI-24-58- og TOWN OF YARMOUTH
/, o Office of the Building Commissioner _ -_
� 1146 Route 28, South Yarmouth, MA 02 Fia4 1
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508-398-2231 ext. 1260 Fax 508-398-08 6':
/� NATFAtHEESE 94// MAR it". LOLV
,c�RPpRATE 1
APPLICATION FOR CERTIFICATE OF INSPECTION E J s ,r i ,rz i. T 1
March 1, 2026 PAYABLE UPON RECEIPT
(X) Fee Required$163.00
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for a
Certificate of Inspection for the below-named premises located at the following address:
Street and Number: .. 01 so,‘V\-\ 5 ne Dr
Name of Premises: E.(-) Tel: SO?)-3°)l'— 8$
Purpose for which permit is used: 6\A‘`1,),rr ` R.Wl i}-
License(s) or Permit(s) required for the premisa by other governmental agencies:
License or Permit Agency
Certificate to be issued to . Sec, Tel: Safi-3LA et,_a2S
Address: 30 \ i.., S\.,,oR
Owner of Record of Building E(_)S -Hos?*\ 1
Address ' 1 5,,,, Sl-,,)/t Dr.
Present Holder of Certificate
R6" m
a e f rson to whom Title
ertific is issued or his agent 3/5-/.2(p
Date
Email Address: }5l AV NA/4-�'C'QSor-k, Com
Instructions: Make check payable to: Town of Yarmouth
1146 Route 28, South Yarmouth, MA 02664
Return this application to: Building Inspector's Office
Please note: Application form with accompanying fee must be submitted for each building or structure or part
thereof to be certified. Application must be received before the certificate will be issued. The building official shall
be notified within ten(10) days of any chant a in the above information.
APPLICOM WE ISSTAVOM }: '" O naPirriag
Certificate of Inspection#_BCOI-24-58
04/01/2026-04/01/2027